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Mr. Joseph Odom, LADC1#1394
Counselor in Quincy, Massachusetts
NPI 1669852778

Joseph Odom is a Counselor based in Providence, MA. Joseph Odom practices in Quincy, MA and has the professional credentials of LADC1#1394. The NPI Number for Joseph Odom is 1669852778 and holds a License No. 1394 (Massachusetts).

The current practice location address for Joseph Odom is 43 Old Colony Road, Quincy, MA and can be reached out via phone at 617-934-1136 and via fax at 617-830-1224.

Location: 43 Old Colony Road, Quincy, MA, 02906-4314
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669852778
Provider Name
Joseph Odom
Credential
LADC1#1394
Provider Entity Type
Individual
Gender
Male
Address
43 Old Colony Road, Quincy, MA, 02906-4314
Phone Number
617-934-1136
Fax Number
617-830-1224
Provider Enumeration Date
06/03/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1890832 05 MA
institution
Provider Business Practice Location Address Details
Address
43 Old Colony Road
City
Quincy
State
Massachusetts
Zip
02171
Phone Number
617-934-1136
Fax Number
617-830-1224
person
Provider Business Mailing Address Details
Address
43 Old Colony Road
City
Quincy
State
Massachusetts
Zip
02171
Phone Number
617-934-1136
Fax Number
617-830-1224
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
1394 (Massachusetts)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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